Kimberly A. Clark, PT
NPI 1902900293ActiveIndividual· Physical Therapist· Bristol, VT
Physical Therapist (PT) in Bristol, Vermont, licensed in VT, with an NPI issued in September 2006. Medicare paid $5,215 for services to 12 patients in 2024.
Overview
| NPI | 1902900293 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Sep 8, 2006 |
| Last updated in NPPES | Feb 6, 2020 |
| Certified by provider | Feb 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 0400002918 | VT |
| Physical Therapist | 225100000X | 040.0002918 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 318 across 9 procedure codes |
| Paid by Medicare | $5,215 |
Other Physical Therapist providers in Bristol
- 1750969796
- 1730268103
- 1225335029